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Director of Admissions

Company: Wedgewood Healthcare Center
Location: Lakeland
Posted on: November 22, 2021

Job Description:

Job Overview:Purpose of Your Job PositionAs a Consulate Health Care Director of Admissions, you are entrusted with the responsibility of caring for our residents, families, coworkers,visitors and all others; as well as demonstrating in all interactions, Consulate Health Care's five core values of Compassion, Honesty, Integrity, Respect and Passion. The primary purpose of your job position is to manage the facility census by opening and maintaining the accounts with insurers, community organizations and hospitals, which generate patient referrals and admissions. You are entrusted to provide innovative, responsible healthcare with the creation and implementation of new ideas and concepts that continuallyimprove systems and processes to achieve superior results.
Job FunctionsAs Director of Admissions, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Responsible for managing the facility census by opening and maintaining accounts with insurers, community organizations and hospitals, which generate patient referrals and admissions. Supervises the Admissions Coordinator when applicable. This job description does not list all the duties of the job. You may be asked by the supervisors or managers to perform other duties. Youwill be evaluated in part based upon your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time, for any reason.
Duties and Responsibilities1. Achieves facility census goals and annual budget projections.2. Acts as liaison between the company and the outside community.3. Works with local community agencies to generate a positive image and encourage referral activities.4. Participates in industry trade shows and business development activities, as assigned.5. Develops strategies to maximize admissions including daily contact with potential referral sources including but not limited to hospitals, physicians, insurers, case management companies and health care agencies.6. Conducts admission screening of potential patients, determine level of care, services required, equipment needs and insurance coverage, as indicated.7. Decides acceptance of patients and coordinates admissions with appropriate staff.8. Notifies Regional Vice President of Admissions prior to denial of any patient.9. Promotes Consulate Health Care and participates in contract closings and price negotiations with insurance companies, as assigned.10. Maintains knowledge of current regulations governing Medicare, Medicaid and private insurance company reimbursement.11. Collects appropriate data, prepares and submits required reports to Regional Vice President of Admissions as assigned with copies of reports to Executive Director.12. Maintains effective communication with Consulate Health Care personnel, as assigned.13. Attends and participates in weekly admissions/operations meetings, as assigned by Regional Vice President of Admissions.14. Participates in the facility quality improvement process by identifying customer service issues and reporting these issues to the Executive Director.15. Accesses continuing education opportunities appropriate to discipline and responsibilities as approved by Regional Vice President of Admissions.16. Adheres to all Consulate Health Care Policies and Procedures, and participates in safety, quality improvement and infection control programs as assigned.17. Conducts tours of facility for prospective residents whether walk-ins or scheduled admissions.18. Responsible for ensuring the following duties are carried out within the department:a. Patient referrals are received by the facility and followed up accordingly.b. Contact families of potential resident and invites for tour.c. Tracks pre-admission referral activity daily.d. Assist with arrangements and confirmation of all admissions.e. Assigns attending physician.f. Assure level of care approval obtained and/ir IBRA screen (PASSAR, MIMR) when indicated.g. Verification of payor source, i.e., Medicare Managed Care, Medicaid, Insurance.h. For Medicaid pendings, collect copy of date-stamped application prior to admission. All deviations require prior approval ofExecutive Director and RVPO.i. Obtain prior approval number from payor on a per case basis when authorized.j. Notify case manager and /or DIRECTOR OF CLINICAL SERVICES of any potential risks.k. Order specialized equipment as indicated (review contract content for need to obtain prior approval from authorized payor.Example: CPM, Flexicare, when authorized).l. Notify departments of anticipated admission.m. Complete face sheet, attach-- to clinical screen, copy and distribute to appropriate departments.n. Contact the County Department of Social Service/Medicaid office to verify eligibility and determine estimate of co-pay/familyparticipation amount when appropriate.o. Tracks acute hospital admissions to ensure readmission of patients.p. Welcomes patient on admission and accompanies patient to room.q. Ensures receipt of all necessary documentation from referring institution.r. Assigns medical record number; enters patient Admission Log Book.s. Initiates and completes specified components of the facility admission packet with patient and /or responsible party.t. Assist Business Office Manager with collection of private funds and/or co-pay/family participation if not collected during preadmission.u. Maintains resident roster, waiting list and inquiry list as specified per state regulations including receipts.v. Coordinates room assignment designation with nursing department.w. Coordinates clinical assessments/screening and ensures appropriate clinical acceptance in a timely manner.x. Ensure timely delivery of census report to corporate office and essential services as per company policy.y. Attends morning meeting and/or PPS meeting.19. Embrace Consulate Health Care's five core values of compassion, honesty, integrity, respect and passion, and incorporate them into the daily job function.20. Demonstrates respect and compassion in every interaction.21. Conducts oneself with the highest degree of honesty and integrity in every interaction.22. Demonstrates a passion for caring as evidenced by interactions with co-workers, residents, families and visitors.23. May be trained and assigned to perform the Customer Care Liaison duties as needed.24. Performs other duties, as assigned.
EducationSecondary Education Degree required. Nursing degree preferred. Current state license, as appropriate.
Experience Requirements

  • Three (3) years experience in business development. Managed care/insurance preferred. Experience with public and commercial payers sources preferred. Experience working independently. Excellent verbal, written and interpersonal communication skills.
    Specific Requirements
    • Must be able to read, write, speak, and understand the English language and possess good communication skills.
    • Must demonstrate knowledge and skills necessary to provide care appropriate to the age-related needs of the residents served.
    • Must be a supportive team member, contribute to and be an example of teamwork and team concept.
    • Must possess the ability to make independent decisions when circumstances warrant such action.
    • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public.
    • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to nursing care facilities.
    • Must possess leadership and supervisory ability and the willingness to work harmoniously with and supervise other personnel.
    • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care.
    • Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents.
    • Must be willing to seek out new methods and principles and be willing to incorporate them into existing nursing practices.
    • Must be able to relate information concerning a resident's condition.
    • Must not pose a direct threat to the health or safety of other individuals in the workplace.
      EEO/MFDV

Keywords: Wedgewood Healthcare Center, Lakeland , Director of Admissions, Executive , Lakeland, Florida

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